[Dysphagia] Swalowing workshop

[mbuckie at dmc.org (Buckie,Marcia)]

Thanks Pam.

I do agree with what you are saying in term of esophageal & respiratory
a7 p and disorders, and I remember giving input on the draft of that
position statement about 7 years ago , and thinking : this is awfully
broad in terms of scope.

What I have found over the years, is that it becomes quite easy to segue
into another area, ...I think I can say we are trained in voice
disorders, many of which are caused by reflux, and I think that the
evidence on that has emerged more strongly than when I was in school in
the early 90's.

Having said that, I don't think I will ever see the point in the coy and
thinly veiled questions that appear to me as digs at the SLP profession.
I've been on this list for almost 10 years (I think! Is that possible?)

Okay, the gig is up: as SLPs we don't know everything should, because
the more we learn, the more we learn that we need to know. I have worked
with a lot of professionals who deal with dysphagia (GIs, EnTs, OTs,
radiologists, RDs) and guess what? They don't know it all either! 

By the vary presence of our profession on this list, doesn't it show our
commitment to advancing our knowledge, and subsequently advancing the
care we deliver to patients?

Marcia



-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf Of lobsterpam at aol.com
Sent: Monday, March 05, 2007 07:18
To: bsonies at comcast.net; eripley at yahoo.com; tfix1 at cfl.rr.com
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] Swalowing workshop

 Attempting to shelve the sarcasm, here are a few thoughts....
 
 1. Potential employers expect the SLP to have the appropriate
knowledge, skills and expertise when they hire them to work with a given
population.
 2. SLPs are ethically bound not to practice in areas where they are not
adequately trained.
 3. It would be better for the SLP to obtain training in an area where
they feel they need it, whether as a refresher or to make up a
deficiency, than to practice in an area where they are NOT adequately
trained.
 4. Practice patterns vary greatly among SLPs, and are often not
evidence based. 
 5. There is evidence that SLPs, as a group, are not as well versed in
the respiratory and infectious disease literature as we should be, if we
are going to participate in management of conditions thereof. I believe
we're getting better, though.
 6. A lot of time is spent convincing graduate students that no matter
how much they have learned, they cannot know everything when they finish
their degree.
 7. Continuing education is required for maintenance of certification
and, in most states, for licensure.
 
 All that said, I'm sure we are all aware that ASHA has no requirement
that CEU activities be evidence based. The language included with every
activity states that the content has not been endorsed. "ASHA CE
Provider approval does not imply endorsement of course content, specific
products, or clinical procedures." Attending CEU activities does not
absolve the clinician from personal responsibility to thoughtfully and
carefully evaluate the evidence behind the content and/or clinical
approaches. (In other words, we shouldn't adopt a practice pattern just
because someone, somewhere said it sounded like a good idea and that it
seemed to work for someone they worked with somewhere.)
 
 If you've never read the ASHA Knowledge and Skills document with regard
to swallowing/swallowing disorders, you really should do so. Compare it
to the KASA (Knowledge and Skills Assessment) that students complete,
and you'll see gigantic differences. Differences the size of our
Pennsylvania potholes.
 
 Pam Smith, Ph.D.
 Bloomsburg University
  Bloomsburg, PA 
 -----Original Message-----
 From: bsonies at comcast.net
 To: eripley at yahoo.com; tfix1 at cfl.rr.com
 Cc: dysphagia at b9.com
 Sent: Sun, 4 Mar 2007 10:50 PM
 Subject: Re: [Dysphagia] Swalowing workshop
 
  I guess then that physicians and dentists and psychologists are all so
highly trained once they get their degree that there is no need for them
to
get any continuing education either. Maybe they never forget anything
they
have learned and are totally up to standards at every moment during
their
professional lives. Why single out the SLP?


On 3/4/07 9:41 PM, "Irene Campbell-Taylor" <eripley at yahoo.com> wrote:

> Perhaps you would be so kind as to share what it is you believe me to
be
> missing.  My understanding is that these workshops are attended by
practicing
> SLPs and I fail to see why that should be necessary if they are
already
> adequately trained and educated as ASHA's position papers indicate
they should
> be. It seems like a very basic course to me as well as  missing some
important
> material so that I should be grateful for your explanation.
> 
> "Todd R. Fix" <tfix1 at cfl.rr.com> wrote:  Yes Irene. You are missing
something.
> If you yourself were an SLP, you'd
> have answered your own question.
> 
> 
> Todd R. Fix MA CCC/SLP
> 297 Woodgreen Lane
> Winter Springs, FL 32708
> 
> (407) 312-0213
> 
> 
> 
> -----Original Message-----
> From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf
> Of Irene Campbell-Taylor
> Sent: Sunday, March 04, 2007 9:03 AM
> To: dysphagia at b9.com
> Subject: [Dysphagia] Swalowing workshop
> 
> Someone recently poste a notice about a swallowing workshop as
follows:
> 
> 
> 
> This workshop is designed to provide:
> 
> --knowledge and hands on experience with radiographic and clinical
> 
> techniques for evaluation of swallowing problems in a variety of
patients
> 
> (including neurological and cancer patients)
> 
> --strategies for knowing when and how to implement interventions
during
> 
> radiographic studies and in therapy
> 
> --Guidelines for discontinuing alternate feeding techniques
(gastrostomy and
> 
> 
> nasogastric)
> 
> --observation and participation in evaluation of treatment of
patients.
> Extensive review of video-taped x-ray swallowstudies will be provided.
> 
> I must be missing something but, aren't these the very things that
> practicing SLPs are supposed to already know - according to the ASHA
> position papers?
> 
> 
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
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> 
> 
> 
> 
> 
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
> Dysphagia mail list: Normal and disordered swallowing information
> Dysphagia at b9.com
> Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
> Visit the new Dysphagia Web Forum: http://dysphagia.com/forum


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